Flight Instructor Rating Enrolment

Flight Instructor Rating [FIR]

Personal Details

First Name

Surname

Date of Birth

Gender

Female

Male

Nationality

Passport Number

Passport - Date of Expiry

Upload Passport Details Page

Country of Birth

Citizenship Status

Home Address

Address - Home - Unit/Flat Number

Address - Home - Street/Lot number

Address - Home - Street Name

Address - Home - Suburb

Address - Home - Post Code

Address - Home - State

Address - Home - Country

E-mail Address

Mobile Number (please include international code if required)

Emergency Contact Full Name

Emergency Contact Relationship

Emergency Contact Number (please include international code if required)

Educational Background

Highest Level of Education Completed

Name of Last Educational Institution Attended

Location of Last Educational Institution (City, Country)

Year of Graduation

Are you currently enrolled in any other educational programs

Not Stated

Yes

Please specify name of course / program

English Language Proficiency

Native Language

Proficiency in spoken English

International - English Test Type

International - English Test Date

International - English Test Score

Have you completed any English language courses

Yes

Please provide details

Aviation Experience

Please provide ARN (Aviation Reference Number)

Please provide details of your training (e.g., hours flown, types of aircraft, institution)

Please upload all pages of your Commercial Pilot Licence

Please list all licenses/certificates and issuing authorities

IPC

IPC Expiry Date

Total Dual Night Hours Flown

Do you hold a current ASIC

Yes

Upload ASIC

Have you previously been enrolled in a flight training program in Australia or overseas

Yes

Please provide details (e.g., name of the school, location, duration).

Medical Information

Do you hold a current CASA aviation medical certificate

Yes

Please Provide Medical Certificate Details

Class 1

Class 2

Class 1 & 2

Expiry Date Class 1

Expiry Date Class 2

Upload copy of CASA Medical Certificate

Have you ever been denied a medical certificate for aviation purposes

Yes

If you have been denied a medical certificate for aviation purposes, please provide details

Do you have any medical conditions that could affect your ability to safely operate an aircraft

Yes

If you have any medical conditions that could affect your ability to safely operate an aircraft, please provide details

Visa & Immigration Status

International - Visa Type

International - Visa Status

International - Visa Expiry Date

Have you ever had an Australian visa application denied or had a visa cancelled

Yes

If Yes, please provide details

Do you require assistance with your student visa application

Yes

Financial Information

How do you plan to finance your flight training

Self Funded

Scholarship

Loan

Other

Do you require a payment plan for your course fees

Yes

Additional Information

How did you hear about our flight training program

Do you have any special requirements or needs for your training

Yes

Please provide details of requirements

Do you have a disability

Not Stated

Yes

Disability Type

Do you have any other comments or questions

Declarations & Consent

Do you consent to the collection, use, and disclosure of your personal information in accordance with our privacy policy?

Yes

Do you declare that all the information provided on this form is accurate and complete to the best of your knowledge

Yes

Digital Signature

Draw It
Clear

Date

This course is currently not open for enrolments